NURS 210 ASSESSMENT APPROVED EXAM WITH CORRECT ANSWERS 2026

NURS 210 ASSESSMENT APPROVED EXAM WITH CORRECT ANSWERS 2026 A nurse is teaching a client and his family how to care for the client's tracheostomy at home. Which of the following instructions should the nurse include in the teaching? a) Remove the outer cannula cautiously for routine cleaning b) Use tracheostomy covers when outdoors c) use sterile technique when performing tracheostomy care at home d) cleans irritated skin with full-strength hydrogen peroxide b) use tracheostomy covers when outdoors Tracheostomy covers protect the client's airway from cold air, dust, and other airborne particles A home health nurse is performing a follow-up visit for a client who has a gastrostomy tube through which they receive intermittent feedings and medications. The client has recently developed diarrhea. Which of the following findings should the nurse identify as a possible cause of the diarrhea? a) the client is receiving formula at room temperature b) the feedings infuse at a slow, continuous drip over 8hr each night c) the client's caregiver washes out the feeding bag with warm water once every 24 hr d) the client's caregiver flushes the tubing with water before and after administering medications c) the client's caregiver washes out the feeding bag with warm water once every 24 hr Feeding bags should be washed out after each feeding and replaced with a new feeding bag every 24 hr to prevent bacterial contamination. The nurse should reinforce this information with the client's caregiver to avoid future contamination. A nurse is talking with an older adult client who is contemplating retirement. The client states, "I keep thinking about how much I enjoy my job. I'm not sure I want to retire." Which of the following responses should the nurse make? a) "You would have so much more time to spend with your family." NURS 210 NURS 210 b) "You should consider getting a part-time job or doing volunteer work." c) "Let's talk about how the change in your job status will affect you." d) "Why wouldn't you want to retire and relax?" c) "Let's talk about how the change in your job status will affect you." This response is therapeutic because the nurse is encouraging the client to verbalize feelings about the life transition of retirement. A nurse is assessing a client who reports increased pain following physical therapy. Which of the following questions should the nurse ask when assessing the quality of the client's pain? a) "Is your pain constant or intermittent?" b) "what would you rate your pain on a scale of 0-10?" c) "Does the pain radiate?" d) "Is your pain sharp or dull?" d) "Is your pain sharp or dull?" Asking the client whether the pain is sharp, dull, crushing, throbbing, aching, burning, electric-like, or shooting helps determine the quality of the pain A nurse is caring for a client who is expressing anger about his diagnosis of colorectal cancer. Which of the following actions should the nurse take? a) discuss the risk factors for colon cancer b) focus teaching on what the client will need to do in the future to manage his illness c) provide the client with written information about the phases of loss and grief d) reassure the client that this is an expected response to grief d) reassure the client that this is an expected response to grief During the anger stage of the client's psychosocial adaptation to illness, the nurse should support the client and explain that this is an expected reaction to a cancer diagnosis A nurse on a medical-surgical unit is caring for a client who has a new prescription for wrist restraints. Which of the following actions should the nurse take? a) pad the client's wrist before applying the rstraints b) evaluate the client's circulation every 8 hr after application c) remove the restraints every 4 hr to evaluate the client's status d) secure the restraint ties to the bed's side rails a) pad the client's wrist before applying the restraints NURS 210 NURS 210 the use of restraints without padding can abrade the client's skin, resulting in client injury A nurse is performing a home safety assessment for a client who is receiving supplemental oxygen, Which of the following observations should the nurse identify as proper safety protocol? a) the client uses a wool blanket on their bed b) the client identifies the location of a fire extinguisher c) the client stores an extra oxygen tank on its side under their bed d) the client has a weekly inspection checklist for oxygen equipment b) the client identifies the location of a fire extinguisher The client should be able to identify the location of a fire extinguishers in the home and be aware of how to use them. A nurse is caring for a client who has a respiratory infection. Which of the following techniques should the nurse use when performing nasotracheal suctioning for the client? a) insert the suction catheter while the client is swallowing b) apply intermittent suction when withdrawing the catheter c) place the catheter in a location that is clean and dry for later use d) hold the suction catheter with her clean, nondominant hand b) apply intermittent suction when withdrawing the catheter The nurse should apply intermittent suction during the withdrawal of the catheter to prevent injury to the mucosa. However, suctioning continuously for more than 10 seconds can cause cardiopulmonary compromise. A nurse is preparing to administer enoxaparin subcutaneously to a client. Which of the following actions should the nurse take? a) administer the medication with the needle at a 45º angle b) administer the medication into the client's nondominant arm c) pull the client's skin laterally or downward prior to administration d) massage the injection site after administration a) administer the medication with the needle at a 45º angle The nurse should insert the needle at a 45º to 90º angle for a subcutaneous injection A nurse is preparing an education program for staff about advocacy. which of the following information should the nurse inclu